Blood During Bowel Movements: Causes and When to See a Doctor

Q: Blood During Bowel Movements: Causes and When to See a Doctor

Hello： In response to your question, if a young person in their twenties experiences both constipation and bleeding, it is almost certainly due to hemorrhoidal bleeding. <br>The general recommendation is that improving the constipation should resolve the bleeding. <br>Of course,

Blood in the stool?

Hello, Doctor! I seem to be experiencing constipation, as I have infrequent bowel movements.
Each time I have a bowel movement, I feel pain around the anal area, and sometimes there is a little bit of blood.
My stools are also quite small.
Today, after finishing in the restroom, I noticed that the anal area felt moist, and upon wiping, I discovered signs of bleeding (a patch of red).
This has made me a bit worried that it might be related to hemorrhoids or other factors (such as colorectal cancer).
I originally planned to see a doctor, but the earliest appointment I can get is next Tuesday.
I'm concerned that waiting that long might worsen my condition.
Is it necessary to see a doctor immediately, or can I wait until my appointment? Thank you for your response!

Tsuki, 20~29 year old female. Ask Date: 2011/01/06

Dr. Ke Fangxu reply Surgery

Hello: In response to your question, if a young person in their twenties experiences both constipation and bleeding, it is almost certainly due to hemorrhoidal bleeding.
The general recommendation is that improving the constipation should resolve the bleeding.
Of course, this does not mean that colorectal cancer cannot occur at this age, but the probability is quite low.
If there are accompanying symptoms or a family history, it would be advisable to request a colonoscopy from a physician.
However, it is still recommended to address the constipation and avoid spicy and irritating foods.
If there is no improvement, seeking medical advice later is also acceptable.

Reply Date: 2011/01/06

More Info

Experiencing blood during bowel movements can be concerning, and it’s understandable that you’re feeling anxious about it. Based on your description, there are a few potential causes for the bleeding, and I will outline them along with recommendations on when to seek medical attention.

Common Causes of Blood During Bowel Movements
1. Hemorrhoids: This is one of the most common causes of blood in the stool. Hemorrhoids are swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. The blood is usually bright red and may be seen on toilet paper or in the toilet bowl.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard or large stools. They can lead to sharp pain during bowel movements and may also cause bleeding.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can sometimes lead to diverticulitis, where these pouches become inflamed or infected, potentially causing bleeding.

4. Colorectal Polyps or Cancer: While less common, polyps (growths on the colon lining) can bleed, and in some cases, they can be precursors to colorectal cancer. Blood from these sources may appear darker and mixed with stool.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.

When to See a Doctor
Given your symptoms of pain during bowel movements, small stools, and the presence of blood, it is advisable to consult a healthcare professional. Here are some guidelines on when to seek medical attention:
- Immediate Attention: If you experience significant bleeding (more than a small amount), dizziness, fainting, or severe abdominal pain, you should seek immediate medical care.

- Routine Appointment: If the bleeding is minor and you are otherwise stable, it may be acceptable to wait for your scheduled appointment next week. However, if the bleeding persists, worsens, or if you develop new symptoms (like fever, significant weight loss, or changes in bowel habits), you should contact your doctor sooner.

- Chronic Symptoms: If you have a history of constipation, hemorrhoids, or any gastrointestinal issues, it’s important to discuss these with your doctor, as they can provide tailored advice and treatment options.

Preventive Measures
In the meantime, you can take some steps to alleviate your symptoms and prevent further issues:
- Increase Fiber Intake: Eating more fruits, vegetables, and whole grains can help soften your stool and make bowel movements easier.

- Stay Hydrated: Drinking plenty of water can also help prevent constipation.

- Avoid Straining: When using the bathroom, try to relax and avoid straining, which can exacerbate hemorrhoids and fissures.

- Warm Baths: Taking warm baths can help soothe anal discomfort and promote relaxation.

Conclusion
While the presence of blood during bowel movements can be alarming, many causes are treatable, especially if addressed early. It’s important to listen to your body and seek medical advice when necessary. If you feel that your symptoms are worsening or if you have any doubts, don’t hesitate to reach out to a healthcare provider sooner than your scheduled appointment. Your health and peace of mind are paramount.

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